HomeMy WebLinkAboutPermit Building 2000-4-12 . '~ . I Job# 00-00378-01 I . Page 1 of4 TRANS#:01-0001207 DATE:APR 122000 AMT RECD:2 $ 4059.68 CHANGE: CASHIER: 059 SPRINGFIELD ;)~. RESIDENTIAL PERMIT City Of Springfield Community Services Division Building Safety Job Number: 00-00378-01 225 North Fifth Street Springfield, OR 97477 Office: 726-3759 Inspection Line: 726-3769 Location Of Proposed Site: 807 Fairwiew Dr Spr Assessors Map#: 17032742 Lot: Block: Addition: Tax Lot #: 00800 Subdivision: Help-'J J~;MS '<Ui\1,~:~.o' O'St1lrL . Address: 8~il'l~DrrM7i\1l>l OO/~:> City/State/Zip: ~ ~ (tSo'(', &~.2h..::o'...l Scope Of Work: Manufacl5fe.sl/~Om'~&!::"~o:OII>'Oo!;lew l!t/o'..r~ S'Oi\1/7 S'Qi\1~ l-ii\1t>- Mfgd Home with garag~k1il~ ~ep\I~~JlIY, ... vO'~ --<"/1>' Contractor Type Contractor .~\) o'S/f..;./, General Cont~, M & A Construction Inc , '1'/'0111 fo/,'{I/;::,\, 916 Prescott Lane. Sprin9field. OR 97477 EI 'I C;'..... 70/111,. 'G'll", N lEI t' ectnca lont'qr.- u/€" .;~' "7..!; ec nc olo,;?"It::rr,lOI) (4.7,_15?QoiHollow Road, Eugene. OR <:10 <:IS",. . 97~03 'ea 6 ~'" c- 081;' You r UUI.n:" 'rf,. -VI!)" Y<';{i-- Manuf,"Q.m~lnslall&,Sunliurst eonte!nP~)JJ:lry Homes Inc '-1""'1;, ~ tf), .Y of) . v r!?,> -. UI ....YO ~ -I.. , a/fo @C&~P. ErOl,< ?160~.)EUg~ne?O.~97402-0410 ^ 'l"th_ 9, (\ ~O"'L . 0"",-. &$.0. ,'II. - '~I)I!O,!~ vr&g~ '01&: it;' Of I!)~ &S"v'UOffice Use 7.n 'l)V/,', &I&/, 'rllt. V. Quad Area: 2RNW'If)'?"blttyll/. ?-?!).'j;ihi!:use: Mfg Home - Not in a Par # Of Units: 1 "'~?'4~'I"Cq'%!fning Code: LOR Constr. Type: (VN) Wood Frame' W.rdrooms: 4 Water Heater: Electric Range: Electric Owner: Phone Number: 541-747-7073 Srinfield, OR 97477 Value: $49,500 Registration # 88928 Expiration Date Phone 541-747-6504 02/11/2001 93953 09/21/2000 541-485-2472 58756 03/09/2001 541-461-6541 # Of Buildings: 1 Occupancy Group: Dwelling Heat Source: Forced Air Electric Sq. Footage: 1900 Verify Ground Rod Footing Foundation Slab Final Building To request an inspection call the 24 hour recording at 726-3769, All inspections requested before 7:00 a,m, will be made the same working day, inspections requested after 7:00 a,m, will be made the following working day. ' iRequired-lnspections : I Building I -Install ground rod at footing, and call for inspection in conjuction with footing and/or foundation i -After trenches are excavated, -After forms are erected but prior to concrete placement. - To be made after all inslab building service equipment. conduit piping, and other equipment ite -When all required inspections have been approved and the building is complete, MH Electrical Electrical Service [ Electrical I -When blocking, setup. and plumbing inspections have been approved and the home is connect -Must be approved to obtain permanent power. I Job# 00-00378-01 I rRequirelflnspections I I Plumbing I -After home has been connected to water and sewer, - Prior to filling trench, - Prior to filling trench, - Prior to filling trench, . . j MH Plumbing Water Line Sanitary Sewer Line Storm Sewer Line ~ . Page 2 of 4 Curbcut I Public Works I -After forms are ereceted but prior to placement of concrete, .Streeflmprovement: Fullylmproved purDCiif?]7I Improvement Agr. ( :SanSewer Depth-(Ft)': E:JBD ,;:norm ",ewer AvailaDle?l7l rSpeciarReq.: SecurifYRequired; ,Bond"BeginDateTime: ,Speciannstructions: I Other Utilities: rSiaewalltType: ;c.C101tlonal KUW? .Curl5Siae=-5' I I o il"oDrywell:ProviaeDrywell"El :Size Ot[jne (iii): Downspouts/Drains; EnchroachmenfPermit: , rSansewer Tee (iii): OOIOOIOOOO-OO:OO-A-1 Bond"End"DateTime: . '. Roofarainage to drywell(s) wi oveiflow to curb weep hole. Types urWarning Devices ReqdJ Comments:Partition currently under review ,Planner: ,Sarah-::;ummers I .mllan GroWlh-Boundary?n ~lenwooa-Area?Tl QuantifYOfFiII~ I Supplier: I l.....-.._.'-----l Drainage; I ' , Floodway FEMA; ilia Construction TypesfVNfWood"Frame Occupancy Groups:Dwelling # Of Buildings: L::J # Of Bedrooms: ~ Handicap Access? n "--' iArea (Sq. Feet) I Main: i1900~ Accessory: Projecfsupervisor: Zoning: LUK .FloollPlain?'l /Netlanlls?Tl _aOUriliiI numller:- 1: 1999-03-0089 2: Fee Residential Plan Check Total Plan Check Building Permit I o POIOOIOOOO.OO:OO-Al I 9verlay District: I ~ofStreefTrees: n ,Land"Use: MfgRome . Nonn a Parkl .pave Driveway 1:7] 3: AaaitionarRequirements:,1 Required-Attachments: I source Locn: L IMaterial: I -~ 1 Flood"l'lainFEMA: nfa I I I I I # Of Stories: L::J Height (feet): I Current Units:1i Proposed Units:~ Census Code: New Mfg-Rome I I -- ___.J Total:1900 Paid On Receipt# Plan Check 03/09/2000 883 Value/Quantity Fee Amount 3.000 $25,03 $25.03 Building 04/12/2000 1207 4,500 $50,50 . Fee !J State Surcharge For Building Permit Building Administrative Fee Total Building Manufactured Home ServicelFeeder State Surcharge For Electrical Permit Electric Administrative Fee Total Electrical Minimum Plumbing Permit Fee State Surcharge For Plumbing Permit Water Service Footage Sanitary Sewer Footage Storm Sewer Footage Manufactured Home Connection Plumbing Administrative Fee Total Plumbing Manufactured Home Setup Fee Manufactured Home State Issuance State Surcharge For Manufactured Hom Manufactured Home Administrative Fee Total Manufactured Home New Curbcut Total Public Works Residential - Single Family - Storm Sanitary Sewer Residential Transportation Residential Sanitary MWMC Residential Improvement MWMC MWMC Administrative Fee SDC Administrative Fee Total System Development SF Residence - Willamalane Total Willamalane SDC Grand Total Plan Check Type Initial Review-Res Engineering-Res Planning-Res Structural-Res Checked By Lisa Hopper Steve Templin AlWard Don Moore Job# 00-00378-01 I Paid On Receipt# Building 04/12/2000 1207 04/12/2000 1207 - ~ . Page 3 of 4 Value/Quantity Fee Amount $3,54 $1.52 $55.56 2 $80.00 $5,60 $2.40 $88.00 $,00 $9,45 80 $40,00 80 $40,00 80 $40.00 1 $15,00 $4,05 $148.50 45.000 $105,00 1 $30,00 $7,35 $3,15 $145.50 1- $60_00 $60.00 3,053 $708,30 20 $965.40 1 $491,60 1 $242,76 1 $22,05 1 $10.00 $122,01 $2,562.12 1 $1,000,00 $1,000.00 $4,084.71 Electrical 04/12/2000 1207 04/12/2000 1207 04/12/2000 1207 Plumbing 04/12/2000 1207 04/12/2000 1207 04/12/2000 1207 04/12/2000 1207 04/12/2000 1207 04/12/2000 1207 04/12/2000 1207 Manufactured Home 04/12/2000 1207 04/12/2000 1207 04/12/2000 1207 04/12/2000 1207 Public Works 04/12/2000 1207 System Development 04/12/2000 1207 04/12/2000 1207 04/12/2000 1207 04/12/2000 1207 04/12/2000 1207 04/12/2000 1207 04/12/2000 1207 Willamalane SDC 04/12/2000 1207 Date Completed 03/13/2000 03/29/2000 04/05/2000 04/07/2000 -<I · I Job# 00-00378-01 I . Page 4 of 4 By signature, I state and agree, that I have carefully examined the completed application and do hE!reby certify that all information hereon is true and correct, and I further certify that any and all work :/ performed shall be done in accordance with the Ordinances of the City of Springfield and the Laws of the State of Oregon pertaining to the work described herein, and that NO OCCUPANCY will be made of any structure without permission of the Community Services Division. Building Safety, I further certify that only contractors and employees who are in compliance with ORS 701.055 will be used on this project I further agree to ensure that all required inspections are requested at the proper time, that each address is readable from the street, that the permit card is located at the front of the propery, and the approved set of plans will remain on the site at all times during construction, ?fJUy,.A\ ~j tMJ~,.J ~ /1 ~ /J2) ~~ ..~' ~ " ~ ". . . ATTACHMENT A CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE WORKSHEET JOURNAL OR JOB NUMBER 00-00378-01 NAME OR COMPANY: HELEN JENNINGS LOCATION: 807 FAIRVIEW TAX LOT NUMBER 17-03-27-42-00800 PARCEL 2 OF 2000-P1322 DEVELOPMENT TYPE: SINGLE FAMILY RESIDENCE DWELLING UNITS: BUILDING SIZE: 2300 LOT SIZE: 12527 1. STORM DRAINAGE IMPERVIOUS SQ. FT. 3053.00 x $0.232 PER SQ. FT, $708.30 I 2. SANITARY SEWER-CITY NUMBER OF PFU's (SEE REVERSE SIDE) 20 x $48.27 PER PFU $965.40 I 3. TRANSPORTATION NUMBER OF TRIPS x TRIP RATE x COST PER PM PEAK HOUR TRIP TOTAL TRANSPORTATION SDC $491.60 I $0.00 $491.60 I x x LOt x $486.73 PER TRIP x $486.73 PER TRIP 4. SANITARY SEWER - MWMC A, REIMBURSEMENT COST: NUMBER OF FEU's x $242,76 PER FEU $242.76 I B. IMPROVEMENT COST: NUMBER OF FEU's x $22.05 PER FEU I I I I $274.81 I , $2,440.111 $22.05 I . $0,00 I , $10.00 I MWMC CREDIT IF APPLICABLE (SEE REVERSE) MWMC ADMINISTRATIVE FEE TOTAL MWMC SDC SUBTOTAL (ADD ITEMS 1,2,3. & 4) 5, ADMINISTRATIVE FEES: BASE CHARGE (SUBTOTAL ABOVE) x 0.05 $122.01 I ~I'~,,",,! SDC cOORIiINA TOR ~ ("LoD= _ DATE TOTAL SDC CHARGES I $2,562.121 . . PLUMBING FIXTURE UNIT (PFU) CALCULATION TABLE NUMBER OF NEW FIXTURES x UNIT EQUIVALENT = PLUMBING FIXTURE UNITS (NOTE, FOR 1l.EMODELS. CALCULA TE ONLY THE NET AOOITIONAL FIXTURE~) " FIXTURE TYPE BATHTUB DRINKING FOUNTAIN FLOOR DRAIN INTERCEPTORS FOR GREASElOIUSOLIDS/ETC. , INTERCEPTORS FOR SAND/AUTO W ASH/ETC. LAUNDRY TUB/CLOTHESW ASHERlMOP SINK CLOTHESW ASHER - 3 OR MORE MOBILE HOME PARK TRAP (1 PER TRAILER) RECEPTOR FOR REFRIGERA TORIW A TER ST A TIONIETC. RECEPTOR FOR COMMERCIAL SINK! DISHW ASHERlETC. SHOWER, SINGLE STALL SHOWER, GANG (NUMBER OF HEADS) SINK: BAR, COMMERCIAL, RESIDE,NTIAL KITCHEN URINAL,STALLAVALL WASH BASINILA V A TORY, SINGLE OR DOUBLE TOILET, PUBLIC INSTALLATION TOILET, PRIVATE INSTALLATION MISCELLANEOUS: FIXTURES NEW OLD 2 2 2 UNIT EQUIVALENT 2 1 2 3 '6 2 6 6 I 3 2 I 2 2 I 6 4 PLUMBING FIXTURE UNITS 4 o o o o 2 o o o o 2 o 2 o 2 o 8 o o o TOTAL PLUMBING FIXTURE UNITS~I 20 CREDIT CALCULATION TABLE: BASED ON ASSESSED VALUE IF IMPROVEMENTS OCCURRED AFTER ANNEXATION DATE IN TABLE, CALCULATE CREDITS SEP ARA TEL YEAR ANNEXED 1979 or before 1980 1981 1982 1983 1984 1985 1986 1987 1988 RATE PER $1,000 ASSESSED VALUE $4.47 $4.38 $4,32 $4,20 $4,03 $3,88 $3.68 $3,38 $3.03 $2.62 YEAR, ANNEXED 1989 1990 1991 1992 1993 ' 1994 1995 1996 1997 1998 RATE PER $1,000 ASSESSED VALUE $2.18 $ 1.75 $ 1.35 $ LI7 $ 1.03 $0,86 $0.71 $0.57 $0.39 $0,18 CREDIT FOR PARCEL OR LAND ONLY IF APPLICABLE IMPROVEMENT (IF AFTER ANNEXATION DATE) x x $0.00 $0.00 CREDIT TOTAL $0.00 r . . ~'!$,,"I" fb~'O\\\0 q,.fb 0..'>$ -<~ ," 0\"'- 0' "I' "I" ,l'~ ~,o'o ~o 0 225 FIFTH STREET '(<'0\0\,.": 'I" SPRINGFIELD, OREGON 9fqif,0~'b" 1-0'" ~ INSPECTION REQUEST: 72~769 OFFICE: 726-3759 o~~ r..'b-\.0 ,:\.0 v 0" 1. LOCATION OF INSTALLJ.TION.t~~~_ ~Of) ~,,~ ~ A. LEGAL DESCRIPTION \'lD3~')t\'1-_,./') ~1.- ll.-3 -&DD ~O~~"Q.. ~ nO<t:V"' o JOB DESCRIPTION \. , . ,. \0.. o./'rl.D..ld- ~ rrJ. GY nDOU..... -- - L> {jlJ Permits are non-transferable and expire if work is not started within 180,days of issuance or if work is suspended for 180 days. 2. CONTRACTOR INSTALLATION ONLY Electrical Contractor C/~ ,of'<<! c7,...,-{'(':L Address ~7/5 FD><; Ijollvw ~J. d::>97405 City Evy/Y? t:, {J('.. Phone 4KT-;;J'-f7L Supervisor License Number 3.57 \? S Expiration Date /0 -{)/-OJ Constr Contr. Number 93955 Expiration Date /0/0 (J , Signa~~, of Supervising Electrician /.2.f/; A~ 7/ 71(' fl ~ o:ners Namlt 1\9. \. 01... .\.J r\ f\ \.cOO Address PD~ ~\)\QA''') ~. Cit~ ~~a~Phone \4"\;'1l""0 OWER INSTlt.hTION The installation is being made on property I own which is not intended for sale, lease or rent. Owners Signature: --------------------------------------- DATE: RECEIPT ll: RECEIVED BY: ELECTRICAL PERKIT APPLICATION City Job NumberfJO-60 3-1-8"-0 ~ 3. COMPLETE FEE SCHEDULE BELOV New Residential-Single or Multi-Family per dwelling unit. Service Included: ,B. 1000 sq.ft. or less Each additional 500 sq. ft or portion thereof Each Manuf'd Home. or Modular, 'Dwelling Service or 'Feeder ~ Services or Feeders Installation, Alterations or Relocation: 200 amps or less 201 amps to 400 amps 401 amps to, 600 amps 601 amps to 1000 amps Over 1000 amps/volts Reconnect Only Items Cost Sum S 85.00 $ 15.00 ,$ 40.00 ~ $ 50.00 $ 60.00 $100.00 $130.00 $300.00 $ 40.00 C, Temporary Services or Feeders Installation, Alteration or Relocation 200 amps' 'or less 201 amps to 400 amps Over 401 to 600 amps Over 600 amps or 1000 volts D. Branch Circui ts $ 40.00 $ 55.00 $ 80.00 see "B" above ," New, Alteration or Extension Per Panel One Circui t Each Additional Circuit or with Service or Feeder Permit $ 35.00 $ 2.00 not included) Miscellaneous (Service/feeder -Each installation Pump or irrigation . Sign/Outline Lighting Limited Energy/Res Limited Energy/Comm E. 5. SUBTOTAL OF ABOVE 5% State Surcharge 3% Administrative Fee TOTAL $ 40,.00 $ 40.00 $ 20.00 $ 36.00 ~.CI,D C;."O ?~ tr:Ld e:I:::2- ,~, . . .. ('I f\1\ , I/IIW ~1''''Willamalane ~,-",!, Park & Recreation District Job. No.OO:D03Wl "'W SYSTEM DEVELOPMENT CHARGE \ WORKSHEET NAME,J\.~ '\\~ PHONE,t'\TlOl9J ADDRESS:-0b~ ~ii) t:>C STATE:~ZIP: 01117 LOCATION OF PROPOSED BUILDING SITE: Street Address: eDf'\ ~\)iQ.u) \\\ . Plat Name:~\O.C\C\.D3.\f)~C\Tax Lot Number:~_ fYji,rJ) 1. DEVELOPMENT TYP.I; (Check appropriate dwelling(s). SDC calculations and dwelling t ype delinitions are on the back.) A. SinolA-Fflmilv DAlpchAO. Single Family home NO. OF UNITS \ \ Manufactured home not in a park X $1,000 per unit = $ \il1J.W B. ~inoIA-Fllmilv ~ChArl NO. OF UNITS X $924 per unit ,- $ C. Multi-Familv Aoartment NO. OF UNITS X $692 per unit = $ D. MWltlfllclurerl Home Pflrl~ NO. OF UNITS WILLAMALANE SDC X $699 per unit c $ $ lonO ,00 j/ 2. SDC CREDIT (II applicable) SDc-payer must furnish proof of Willamalane Credit approval. See SDC Credit Worl<sheet. $ 3. TOTAL WILLAMALANE NET SDC ASSESSED (II SDCreduced for Credit) \~ - Development Servic&,s >pepartment Date City of Springfield $ tWD.ctJ I I